Organization
GIBSONIA SPINE SPORT & HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY TALORICO DC (PRESIDENT)
(724) 709-3430
Entity
Organization
Contact information
Practice address
5499 WILLIAM FLYNN HWY, GIBSONIA, PA 15044-9675
(724) 443-8444
(724) 443-6963
Mailing address
5499 WILLIAM FLYNN HWY, GIBSONIA, PA 15044-9675
(724) 443-8444
(724) 443-6963
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC06345L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1829811
—
PA
01
—
214910
UPMC
PA
01
—
809656
BLUE SHIELD
PA
Enumeration date
03/13/2015
Last updated
03/13/2015
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